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Pulsatile tinnitus alleviated by contralateral neck compression: a case report
Byung-Hoon Jun1, Ick-Soo Choi, Ghi-Jai Lee
1Department of Otolaryngology, Seoul Paik Hospital, Inje University College of Medicine, Jur-Dong 2ka, 85 Choong-Ku, Seoul 100-032, South Korea. cisoo99@yahoo.com
Auris, Nasus, Larynx
|February 19, 2003
Summary
A patient experienced pulsatile tinnitus due to a dural arteriovenous fistula (DAVF) of the jugular bulb. Treatment with transarterial embolization successfully resolved the tinnitus, with no recurrence after one year.
Area of Science:
- Neurology
- Vascular Surgery
- Otolaryngology
Background:
- Pulsatile tinnitus can be caused by various vascular abnormalities.
- Dural arteriovenous fistulas (DAVFs) are rare but significant causes of head and neck symptoms.
Observation:
- A 58-year-old man presented with right-sided pulsatile tinnitus.
- Symptom relief with contralateral neck compression suggested a vascular, rather than purely venous, origin.
- A high jugular bulb was noted on temporal bone CT, but the primary cause was a dural arteriovenous fistula of the jugular bulb.
Findings:
- Angiographic study confirmed the presence of a dural arteriovenous fistula (DAVF) involving the jugular bulb.
- Transarterial embolization was performed to treat the fistula.
Implications:
- This case highlights an unusual presentation of pulsatile tinnitus.
- Successful endovascular treatment of jugular bulb DAVF offers a minimally invasive option for symptom relief.
- Accurate diagnosis and targeted treatment are crucial for managing complex vascular lesions causing tinnitus.